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Dengue Fever (DF) is a self-limiting mosquito transmitted disease characterised by fever, headache, muscle pain, joint pain, rash, nausea and vomiting. Dengue Haemorrhagic Fever (DHF) is a severe and more serious form of DF, characterised by fever, bleeding manifestations, plasma leakage and thrombocytopenia. This is a report of a 32-year-old male, presented with history of fever and myalgia with two episodes of vomiting and presence of petechial rash. Patient was diagnosed with DHF. The patient presented with absent breath sounds on respiratory examination and his chest radiograph (posteroanterior view) showed right-sided pleural effusion. Pleurocentesis revealed haemorrhagic fluid in the absence of trauma. Unprovoked haemothorax as an initial presentation of DHF is a rare occurrence.